0001209191-17-016075.txt : 20170301
0001209191-17-016075.hdr.sgml : 20170301
20170301174837
ACCESSION NUMBER: 0001209191-17-016075
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170228
FILED AS OF DATE: 20170301
DATE AS OF CHANGE: 20170301
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GREEN DOT CORP
CENTRAL INDEX KEY: 0001386278
STANDARD INDUSTRIAL CLASSIFICATION: FINANCE SERVICES [6199]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3465 E. FOOTHILL BLVD
CITY: PASADENA
STATE: CA
ZIP: 91107
BUSINESS PHONE: 6267652000
MAIL ADDRESS:
STREET 1: 3465 E. FOOTHILL BLVD
CITY: PASADENA
STATE: CA
ZIP: 91107
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shifke Mark L
CENTRAL INDEX KEY: 0001497742
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34819
FILM NUMBER: 17656049
MAIL ADDRESS:
STREET 1: 605 E. HUNTINGTON DRIVE, SUITE 205
CITY: MONROVIA
STATE: CA
ZIP: 91016
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-02-28
0
0001386278
GREEN DOT CORP
GDOT
0001497742
Shifke Mark L
3465 EAST FOOTHILL BOULEVARD
PASADENA
CA
91107
0
1
0
0
Chief Financial Officer
Class A Common Stock
2017-02-28
4
F
0
18208
0.00
D
762158
D
Represents shares of Class A Common Stock that have been withheld by the issuer to satisfy its income tax withholding and remittance obligations in connection with the net settlement of the RSUs, based on a price of $29.31 per share, which represented the closing price of the issuer's Class A Common Stock on February 28, 2017, and does not represent a sale by the reporting person.
/s/ Lina Davidian as attorney-in-fact for Mark L. Shifke
2017-03-01